NPIMap

Organization Active NPI

San Francisco VA Medical Center

  • VA Clinic/Center
  • San Francisco, CA
National Provider Identifier
1386948172
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
License
776821 Issued in CA
Legal business name
SAN FRANCISCO VA MEDICAL CENTER
Practice address
4150 Clement St
Routing # 181HBPC
San Francisco, CA 94121-1545
Phone
(415) 221-4810
Fax
(415) 379-5512
NPI assigned
Jan 7, 2011
Organization subpart
Yes
Parent organization
DEPARTMENT OF VETERANS AFFAIRSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sandra Yvonne Moody, MD
Title
HBPC Medical Director
Phone
(415) 750-2045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X 776821 CA Primary

Addresses

Primary practice location

4150 Clement St
Routing # 181HBPC
San Francisco, CA 94121-1545

Mailing address

4150 Clement St
Routing # 181HBPC
San Francisco, CA 94121-1545
Phone (415) 221-4810

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one
Part of
James a Haley Veterans' Hospital

Organizations with this tax ID in the same state 11

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

4150 Clement St
#181
San Francisco, CA 94121
Phone (415) 750-2045

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1386948172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT ST",
            "address_2": "ROUTING # 181HBPC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211545",
            "telephone_number": "415-221-4810",
            "fax_number": "415-379-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT ST",
            "address_2": "ROUTING # 181HBPC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211545",
            "telephone_number": "415-221-4810",
            "fax_number": "415-379-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO VA MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "HBPC MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-750-2045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "CA",
            "license": "776821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.